Tag: Patient Safety

Patient Safety: Learning, Leadership, and Safer Healthcare Systems

Patient safety doesn’t improve through punishment, vigilance posters, or telling people to “be more careful.” It improves when leaders design safer systems, support speaking up, and focus on learning instead of blame. This archive brings together blog posts, podcasts, and reflections on patient safety through a Lean lens—exploring medical errors, near misses, psychological safety, leadership behaviors, and how healthcare organizations can reduce harm by fixing systems rather than blaming individuals.

Trying to Reduce Hospital Overprocessing

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A Novel Plan Helps Hospital Wean Itself Off Pricey Tests - WSJ.comKevin, over at Evolving Excellence, raised a similar issue about misaligned incentives and...

Should Nurses Be Jailed for Medical Mistakes? Blame, Systems, and Patient...

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In the news: Charges against nurse igniting a debate This case -- involving Wisconsin nurse Julie Thao -- is still referenced in debates about whether...

Being Careful Isn’t Enough, Particularly in Pathology

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One of the core ideas of the Toyota Production System is the recognition that people are indeed human and are therefore fallible (part of...

"Doctors Must Wash Hands Before…"

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Study: Doctors Don't Wash Hands Enough Over the weekend, in a trade publication, I read yet another survey about MD's (especially surgeons) not washing their...

MD’s "Passive Aggressive" with Standard Practices

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USATODAY.com - 'Wrong site' surgeries on the riseIt's supposed to be a standard practice, since 2004, for preventing "wrong site surgeries" -- placing a...

Lean Healthcare: Protecting Yourself in the Hospital

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USATODAY.com - Your healthYou have to scroll down to see this on USA Today's site, so here's the whole article with my commentary. ...

Toyota Assembly Line Inspires Improvements at Hospital

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Washington Post (via MSNBC):Another example of the waste-filled health care system adopting TPS methods and approaches:"In adopting the Toyota mind-set, Kaplan said, the 350-bed...
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